Whalio Doctors

NPI 1043753056

Prairie Ridge Integrated Health Care

Organisation Substance Abuse Rehabilitation Facility Mason City, IA

Practice location

Address
320 N Eisenhower Ave, Mason City, IA 50401-1521
Phone
(641) 424-2391

Authorised official

Name
Jeremy Baker
Title
Clinician
Phone
(641) 530-8055

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1043753056
Entity type
Organization
NPI issued
22 Nov 2016
Record last updated
22 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.